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Bhat, Sanjana Mahadev

https://orcid.org/0000-0002-7597-9597

Mayo Clinic

Mayo Clinic

Citations 31

ROS scavenging mitigates TNFα-induced endoplasmic reticulum stress and mitochondrial fragmentation in human airway smooth muscle
Sieck, G C, Mahadev Bhat, Sanjana , Sieck, Gary , Dasgupta, Debanjali , Bhat, Sanjana Mahadev , Sieck, Gary C.

Function | September 3, 2026 | Volume: 7 | Issue: 5 | Pages: No page available

10.1152/function.036.2026 Get It

In human airway smooth muscle cells, TNFα induces reactive oxygen species (ROS) generation and promotes endoplasmic reticulum (ER) stress and mitochondrial fragmentation. Importantly, treatment with the ROS scavenger tempol effectively attenuated TNFα-induced oxidative stress, suppressed ER stress and mitochondrial fragmentation, and improved the intrinsic respiratory capacity and functional efficiency of individual mitochondria. These findings identify oxidative stress as a central mediator linking TNFα signaling to ER stress and mitochondrial fragmentation, highlighting tempol as a potential therapeutic strategy.
Fiber type specific tibialis anterior muscle atrophy and oxidative capacity reduction is contemporaneous with death of larger lumbar motor neurons in old rats
Rooker, Kathryn D., Hernandez-Vizcarrondo, Genesis A., Cheung, Sang Won , Al, Brown, Sieck, G C, Fogarty, Matthew J. , Mahadev Bhat, Sanjana , Fogarty, Matthew J , Bhat, Sanjana Mahadev , Brown, Alyssa D., Sieck, Gary C.

Physiological Reports | July 27, 2026 | Volume: 14 | Issue: 14 | Pages: No page available

10.14814/phy2.71035 Get It

Abstract Age‐associated muscle weakness and atrophy of limb muscles, termed sarcopenia, is a major factor in the morbidity of the elderly. It is becoming increasingly recognized that a substantial contribution to the sarcopenic phenotype arises from motor neuron (MN) death in old age and subsequent muscle denervation. In human and rodent models, mitochondrial dysfunction is a leading culprit in both muscle and MN deterioration with age. In other motor pools within the Fischer 344 (F344) aging rat model, we showed that sarcopenia is selective to type IIx/b muscle fibers. We also showed a loss of larger MNs and denervation of the IIx/b fibers, which together comprise more fatigable fast (type FF) motor units. This selective vulnerability of larger MNs and type IIx/b muscle fibers to sarcopenia is further reflected by reductions in oxidative capacity of IIx/b fibers, as assayed by determining the maximum velocity of the succinate dehydrogenase reaction (SDHmax). Here, we hypothesize similar changes will occur in F344 tibialis anterior (TA) muscle from young (6‐months) and old (24‐months) groups. We also predict lumbar MN death in young and old F344 rats. We found selective atrophy of type IIx/b fibers in the TA from old rats. In old age, SDHmax was reduced but only in IIx/b TA fibers. These muscle observations were concomitant with the death of larger lumbar MNs in old age. This study indicates the remarkable selectivity of type FF TA motor units to age‐associated perturbations and sarcopenia.
Molecular mechanisms underlying FCCP-induced mitophagy in human airway smooth muscle cells
Bhat, Sanjana Mahadev , Ramirez, Oscar A. Ramirez, Sieck, Gary C. , Mahadev Bhat, Sanjana , Ramirez Ramirez, Oscar A, Sieck, Gary

American Journal of Physiology-Lung Cellular and Molecular Physiology | July 23, 2026 | Volume: 331 | Issue: 3 | Pages: L233-L251

10.1152/ajplung.00050.2026 Get It

The study establishes the presence of a robust mitophagic response to acute mitochondrial depolarization in hASM cells mediated through the canonical PINK1-Parkin pathway. By integrating quantitative mitochondrial labeling and biochemical analyses, we demonstrate increased mitochondrial damage and remodeling, accompanied by mitochondrial PINK1 accumulation and Parkin activation, resulting in ubiquitin-dependent signaling and lysosomal engulfment. These findings identify mitophagy as a critical adaptive mechanism for maintaining mitochondrial quality control in airway smooth muscle cells during metabolic stress.
B29-02 Paris Promotes Mitochondrial Turnover in Aging Human Airway Smooth Muscle Cells
Bhat, S Mahadev, Reynolds, C J, Sieck, G C, Bhat, Sanjana Mahadev , Mahadev Bhat, Sanjana , Sieck, Gary C.

American Journal of Respiratory and Critical Care Medicine | May 18, 2026 | Volume: 212 | Issue: Supplement_1 | Pages: No page available

10.1093/ajrccm/aamag162.5381 Get It

Abstract Rationale Normal lung aging is characterized by progressive structural and functional decline that reduces respiratory efficiency. Aging is associated with excessive reactive oxygen species production and impaired homeostatic pathways that maintain mitochondrial quality control, involving mitophagy (removal of damaged mitochondria) and mitochondrial biogenesis (generation of new mitochondria). In human airway smooth muscle (hASM), reduced mitochondrial quality control can lead to the accumulation of damaged mitochondria, compromising ATP production and decreasing cellular viability. Maintaining healthy mitochondria involves a balance between mitophagy and mitochondrial biogenesis. A key regulator of this balance is PARIS, normally a target of the PINK1/pParkinS65 mitophagy pathway. PARIS transcriptionally inhibits PGC1α and NRF2 expression, key regulators of mitochondrial biogenesis and redox homeostasis. Furthermore, NRF2 can upregulate PINK1 expression, enhancing mitophagy. Therefore, we hypothesize that aging involves unmitigated mitochondrial dysfunction due to accumulation of PARIS and an imbalance between the removal of damaged mitochondria (mitophagy) and mitochondrial biogenesis. Methods hASM cells were dissociated from bronchiolar tissue samples from patients with no history of smoking or respiratory diseases and cultured (≤3 passages). Prior to experimentation, hASM cells from young (≤40 yrs) and old (≥70 yrs) patients (female and male) were serum deprived and phenotyped. In both age groups, targeted siRNA-mediated knockdown of PARIS was also performed. The extent of mitochondrial damage in hASM cells was determined by changes in mitochondrial membrane potential (Ψm) using TMRM (250 nM), and the extent of co-labeling of MitoTracker Red (200 nM) and CellLight GFP. Mitochondrial turnover was quantified by confocal imaging of hASM cells transfected with pMitoTimer. Mitophagy was determined by PINK1 recruitment to mitochondria, pParkinS65 and ubiquitin (pUbS65) phosphorylation. Total PARIS and pParkinS65-ubiquitinated PARIS (by immunoprecipitation) levels were determined. Mitochondrial biogenesis was determined by PGC1α and NRF2 mRNA and protein expression and mitochondrial DNA (mtDNA) copy number. Results In hASM cells from older patients, there was extensive mitochondrial damage, decreased PINK1 recruitment to mitochondria and decreased pParkinS65 and pUbS65 phosphorylation. Total PARIS accumulation increased due to decreased PARIS ubiquitination. Also, PGC1α and NRF2 expression, and mtDNA copy number decreased, likely due to PARIS-mediated inhibition. Knockdown of PARIS increased PGC1α and NRF2 expression, thereby promoting mitochondrial biogenesis and NRF2-mediated antioxidant responses and increasing PINK1 expression, thereby activating mitophagy. Conclusion Aging results in impaired mitochondrial quality control in hASM cells. The PARIS-NRF2 axis presents a promising target for therapeutic intervention to mitigate oxidative damage, maintain mitochondrial homeostasis and improve lung function with aging. This abstract is funded by: HL157984 (GCS) and AG44615 (GCS)
Perinuclear Localization of Mitochondria in Phrenic Motor Neurons
Hernandez-Vizcarrondo, Genesis, Bhat, Sanjana Mahadev , Mantilla, Carlos, Sieck, Gary, Mahadev Bhat, Sanjana , Mantilla, Carlos B. , Sieck, Gary C.

Physiology | May 12, 2026 | Volume: 41 | Issue: S1 | Pages: No page available

10.1152/physiol.2026.41.s1.2299506 Get It

Mitochondria are organelles essential for maintaining energetic support and cellular homeostasis. In phrenic motor neurons (PhMNs), mitochondria support the high level of activity necessary to sustain neuromotor control of the diaphragm muscle during breathing. Previously, we observed that small PhMNs recruited during breathing have higher mitochondrial volume density (MVD) compared to large PhMNs that are recruited infrequently during higher force airway clearance behaviors. In support, we also found that the maximum velocity of the succinate dehydrogenase activity (SDHmax) was higher in small PhMNs compared to large PhMNs. However, total mitochondrial volume was comparable across PhMNs of varying size. This suggests that the total ATP demands of PhMNs do not vary with size. The distribution of mitochondria likely reflects the demands of ATP consumption. In airway smooth muscle cells, mitochondria are not homogeneously distributed, with a higher density in the perinuclear region. In addition, mitochondria appear to be localized in close proximity to the endoplasmic reticulum (ER) most likely to support cytosolic and mitochondrial Ca 2+ regulation. The ER is also clustered in the perinuclear compartment of cells. Perinuclear clustering of mitochondria most likely reflects the higher ATP consumption close to the nucleus. We hypothesized that MVD is higher in the perinuclear region of PhMNs compared to more distal compartments. PhMNs of young (6 month), female and male Fisher 344 rats were retrogradely labeled by intrapleural injection of Alexa 488-conjugated cholera toxin B (CTB). Three days later, mitochondria were labeled by subdural injection of MitoTracker Red CMXRos. Spinal cord tissue was collected following transcranial perfusion with 4% paraformaldehyde, sectioned longitudinally at 70 µm, and mounted onto slides. Mosaics of labeled PhMNs and mitochondria were acquired in 3D (Z optical slices of 0.5 μm) using a 60x Plan Apo oil-immersion objective (NA 1.40). Using a concentric (10 mm) shell method for analysis, MVD was quantified relative to the distance relative to the nuclear membrane of PhMNs. Our results show a disproportionately higher MVD within the perinuclear region compared to more distal regions of PhMNs. This perinuclear distribution of mitochondria was found across PhMNs of varying size. These results suggest that energetic requirements of nucleus and ER are major drivers of mitochondrial biogenesis. This abstract was presented at the American Physiology Summit 2026 and is only available in HTML format. There is no downloadable file or PDF version. The Physiology editorial board was not involved in the peer review process.
Loss of PARIS Enhances Mitochondrial Turnover via PGC1α-NRF2 Signaling
Bhat, Sanjana Mahadev , Reynolds, Carmen, Sieck, Gary, Mahadev Bhat, Sanjana , Reynolds, Carmen J. , Sieck, Gary C.

Physiology | May 12, 2026 | Volume: 41 | Issue: S1 | Pages: No page available

10.1152/physiol.2026.41.s1.2293197 Get It

Mitochondrial quality control is maintained by coordinated turnover mechanisms involving mitophagy (removal of damaged mitochondria) and mitochondrial biogenesis (generation of new mitochondria). Disruption of either one or both processes results in the accumulation of damaged mitochondria, oxidative stress and subsequently impaired cellular function. In human airway smooth muscle (hASM) cells, such impairment compromises sustained ATP production required for contractile responses. A key regulator of this balance is PARIS (ZNF746), a transcriptional repressor of PGC1α. Accumulated PARIS binds upstream to the promoter of PGC1α and interferes with the recruitment of transcriptional activators, resulting in decreased PGC1α transcription and reduced mitochondrial biogenesis. In addition, PARIS is implicated in the disruption of cellular antioxidant defense mechanisms due to its direct interaction with NRF2 transcriptional complex. Under basal conditions, PARIS levels are tightly regulated by post-translational modifications such as ubiquitination and phosphorylation. As a target of PINK1/pParkinS65 mediated mitophagy, pParkinS65 binds to PARIS, catalyzing its ubiquitination and proteasomal degradation, thereby alleviating its transcriptional repression of PGC1α and NRF2 and promoting mitochondrial biogenesis. Furthermore, evidence indicates that NRF2 transcriptionally regulates PINK1 expression during oxidative stress and amplifies mitophagy. Therefore, we hypothesize that mitochondrial turnover mechanisms can be regulated by targeting PARIS. In the present study, primary hASM cells were isolated from bronchiolar tissue of 6 patients with no history of chronic pulmonary disease or smoking. The hASM cells were phenotyped and separated into two treatment groups: 1) FCCP (1 µM, 6 h; positive control), a proton ionophore that induces mitochondrial depolarization (damage); 2) untreated control. We observed that FCCP induced extensive mitochondrial membrane depolarization, assessed by changes in mitochondrial membrane potential (Ψm) using TMRM (250 nM). Increased mitochondrial damage was observed with FCCP, measured by the extent of co-labeling of MitoTracker Red FM (200 nM) and CellLight Mitochondria-GFP. Mitochondrial turnover was also quantified by confocal imaging of hASM cells transfected with pMitoTimer, a fluorescent reporter protein in which fluorescence shifts over time from green (Excitation/Emission-488 nm/518 nm) to red (Excitation/Emission-543 nm/572 nm) when oxidized due to mitochondrial stress. Ratiometric analysis of pMitoTimer revealed significant shift from green to red fluorescence with FCCP and accumulation of pure red fluorescent puncta indicative of damaged mitochondria. FCCP increased PINK1 recruitment to mitochondria and increased pParkinS65 and ubiquitin (pUbS65) phosphorylation. Total PARIS accumulation decreased due to increased PARIS ubiquitination, as measured by immunoprecipitation. As a result, PGC1α and downstream NRF2 mRNA and protein expression, as well as mtDNA copy number were increased, indicative of increased mitochondrial biogenesis. Bioinformatics analysis and chromatin immunoprecipitation (ChIP) assay using an NRF2-specific antibody revealed that NRF2 binds to the promoter of PINK1, with FCCP further increasing the binding, thereby increasing PINK1 expression and enhancing mitophagy. Together, these findings identify the PARIS-NRF2 axis as a promising target to mitigate oxidative stress and maintain mitochondrial homeostasis in hASM cells. Supported by NIH grants HL157984 (GCS) and AG44615 (GCS) This abstract was presented at the American Physiology Summit 2026 and is only available in HTML format. There is no downloadable file or PDF version. The Physiology editorial board was not involved in the peer review process.
Fluorescence-based quantification of mitochondrial damage in human airway smooth muscle cells
Bhat, Sanjana Mahadev , Sieck, G C, Sieck, Gary C. , Mahadev Bhat, Sanjana , Sieck, Gary

American Journal of Physiology-Cell Physiology | April 9, 2026 | Volume: 330 | Issue: 5 | Pages: C1336-C1353

10.1152/ajpcell.00033.2026 Get It

We introduce an imaging-based approach to quantitatively distinguish intact from damaged mitochondria within heterogeneous mitochondrial networks using fluorescent labels that exhibit different sensitivities to mitochondrial membrane potential. By combining membrane potential-independent CellLight GFP label with membrane potential-dependent MitoTracker Red, this method sensitively quantifies basal and stress-induced mitochondrial damage in hASM cells. This assay provides a practical and interpretable metric of mitochondrial integrity that complements existing methods that measure mitochondrial membrane potential and oxidative stress.
Kv1.3 as an upstream regulator of oxidative stress-mediated neuroinflammation following organic dust exposure in murine in vitro, ex vivo, and in vivo models
Shrestha, Denusha, Malovic, Emir , Karriker, Locke A. , Robertson, Alan P. , Nguyen, Hai M. , Wulff, Heike, Charavaryamath, Chandrashekhar, Bhat, Sanjana Mahadev , Massey, Nyzil , Choudhary, Shivani, Wulff, Heike , Kanthasamy, Anumantha G. , Charavaryamath, Chandrashekhar

Frontiers in Toxicology | March 23, 2026 | Volume: 8 | Issue: No issue available | Pages: No page available

10.3389/ftox.2026.1765108 Get It

Introduction Inhalation of organic dust from concentrated animal production operations induces inflammation in the brain and respiratory tract. We investigated the role of the potassium channel Kv1.3 in models of organic dust (OD)-induced neuroinflammation. Kv1.3 channels play multifaceted roles in microglial immune modulation, cancer, and neurodegenerative diseases, and represent a potential therapeutic target. Methods We used in vivo (C57BL/6 mice), in vitro (microglial cell line, and primary microglia), and ex vivo (brain slice culture) models of OD-induced neuroinflammation. Sterile OD extract (ODE) was prepared, and mice were exposed to either normal saline or ODE intranasally for 5 weeks (5 days/week) to simulate an occupational exposure scenario. Primary microglia were isolated from neonatal mice for total RNA sequencing (RNA-seq). Results The ODE-induced expression of Kv1.3 was quantified using in vitro and ex vivo models with and without PAP-1 treatment. Exposure-induced changes in cytokines and markers of reactive species were measured. Using western blot, we quantified phosphorylated p38 MAPK (p-p38 MAPK) and NOX2. We measured microglial Kv1.3 currents using whole-cell patch-clamp. Exposure to ODE increased the expression of Kv1.3 and p-p38 MAPK in mouse microglia without affecting the Kv1.3 currents at the cell surface. Exposure increased the levels of inflammatory cytokines and NOX2. Kv1.3 inhibition with PAP-1 decreased inflammatory markers (TNF-α in BV2 microglia and IL-6 in Brain slice cultures and BV2 microglia), levels of Kv1.3, p-p38 MAPK, NOX2, and nitrites. Conclusion Our study revealed that pharmacological inhibition of Kv1.3 potassium channels reduces ODE-induced neuroinflammation by decreasing inflammatory and oxidative stress markers.
Heterogeneous Distribution of Mitochondria and Succinate Dehydrogenase Activity in Phrenic Motor Neurons
Hernandez-Vizcarrondo, Genesis A., Bhat, Sanjana Mahadev , Fogarty, Matthew J. , Mantilla, Carlos B. , Sieck, Gary C.

Physiology | July 1, 2025 | Volume: 40 | Issue: S1 | Pages: No page available

10.1152/physiol.2025.40.s1.0177 Get It

Neuromotor control of diaphragm muscle (DIAm) involves size-dependent recruitment of phrenic motor neurons (PhMNs). To accomplish breathing, only slow (type S) and fast, fatigue resistant (type FR) DIAm motor units are recruited. Thus, type s and FR DIAm motor units are very active in sustaining ventilation throughout life. Importantly, type S and FR DIAm motor units comprise small PhMNs that innervate type I and IIa DIAm fibers, respectively. More fatigable fast (type FF) motor units are very infrequently recruited for higher force, expulsive behaviors. Type FF DIAm motor units comprise large PhMNs that innervate type IIx/IIb DIAm fibers. Previously, we reported that compared to large PhMNs, small PhMNs have higher mitochondrial volume densities reflecting their more frequent activation. Using a quantitative histochemical technique to measure the maximum velocity of the succinate dehydrogenase reaction (SDH max ), we showed that type I and IIa DIAm fibers have higher oxidative capacity compared to type IIx/IIb fibers, which correlates with mitochondrial volume density and the more frequent activation of these muscle fibers. Accordingly, we hypothesize that the SDH max of small PhMNs is greater compared to large PhMNs. PhMNs in 6 month old, female and male Sprague Dawley rats were retrogradely identified by intrapleural injection of Alexa 647-conjugated cholera toxin B (CTB). Following retrograde CTB labeling, rats were perfused intracardially with a 0.1 M PBS, euthanized, and the C1–C6 segment of the spinal cord was dissected. Spinal cord sections were cut (40 mm) in longitudinal horizontal sections and mounted in 2-well Ibidi μ-slide plates. To measure SDH max , the sections were exposed to a solution containing 80 mM succinate (maximum substrate concentration) and 1.5 mM nitro blue tetrazolium (NBT; reaction indicator). As the SDH reaction proceeded, CTB-labeled PhMNs were imaged in 3D (Z optical slice of 0.5 μm) using an oil-immersion x60/1.4 NA objective on a Nikon Eclipse A1 laser scanning confocal system. The change in optical density (OD) was measured every 15 s over a 10-min period to measure the rate of accumulation of NBT diformazan (NBT dfz ; peak absorbance of 570 nm) in PhMNs. Using the Beer-Lambert equation, the change in OD was used to determine SDH max expressed as mmol fumarate/L cell/min. In separate experiments, following retrograde CTB labeling, mitochondria in PhMNs were labeled by transdural infusion of MitoTracker Red and imaged in 3D to determine mitochondrial volume density. Our results support a size-dependent heterogeneity in PhMN mitochondrial volume density and SDH max . We conclude that more active small PhMNs have a higher mitochondrial volume density and corresponding SDH max compared to large PhMNs. NIH grant AG44615 This abstract was presented at the American Physiology Summit 2025 and is only available in HTML format. There is no downloadable file or PDF version. The Physiology editorial board was not involved in the peer review process.
Molecular Regulation of Mitochondrial Biogenesis by Mitophagy Mediated Inhibition of PARIS
Ramirez, Oscar Ramirez , Bhat, Sanjana Mahadev , Reynolds, Carmen J. , Sieck, Gary C.

Physiology | June 23, 2025 | Volume: 40 | Issue: S1 | Pages: No page available

10.1152/physiol.2025.40.s1.0658 Get It

Mitochondrial volume and quality are tightly regulated by two key mechanisms: removal of dysfunctional/damaged mitochondria by selective autophagy (mitophagy) and mitochondrial biogenesis. Disruption of either one or both processes results in the accumulation of dysfunctional mitochondria and increased oxidative stress. Emerging evidence suggest that mitophagy and mitochondrial biogenesis are tightly coordinated, working in concert to maintain mitochondrial homeostasis and quality control. Previously, we reported that tumor necrosis factor α (TNFα), a proinflammatory cytokine produced during inflammatory airway disease, promotes mitochondrial biogenesis by enhancing peroxisome proliferator-activated receptor-γ coactivator-1α (PGC-1α) signaling, the nodal regulator of mitochondrial biogenesis, thereby increasing mitochondrial volume density in human airway smooth muscle (hASM) cells. Additional evidence indicates that TNFα induces mitochondrial depolarization, which is known to trigger a mitophagy pathway involving PTEN-induced putative kinase 1 (PINK1) and Parkin, an E3 ubiquitin ligase. Mitochondrial depolarization facilitates the mitochondrial accumulation of PINK1 and its activation by autophosphorylation at ser228 (pPINK1 s228 ). pPINK1 s228 promotes the recruitment and phosphorylation of Parkin at ser65 (pParkin s65 ), which ubiquitylates several mitochondrial associated proteins promoting the removal of damaged mitochondria. The decrease in the number of functional mitochondria by mitophagy can be offset by increasing mitochondrial biogenesis through the upregulation of PGC-1α signaling. Therefore, we hypothesize that PARIS (ZNF746), a transcriptional repressor of PGC-1α, is a target of PINK1/Parkin-mediated ubiquitination and degradation in hASM cells. In the present study, primary hASM cells were isolated from bronchiolar tissue of 6 subjects with no history of chronic pulmonary disease or smoking and separated into the following treatment groups: 1) FCCP (1 µM, 6 h; positive control), a proton ionophore that induces mitochondrial depolarization; 2) TNFα (20 ng/mL, 6 h); and 3) untreated control. We observed that FCCP and TNFα-induced mitochondrial depolarization triggered mitochondrial translocation of PINK1 and increased phosphorylation of pPINK1 s228 . Additionally, phosphorylation of pParkin s65 and ubiquitination of several mitochondrial associated proteins was increased. Immunoprecipitation of ubiquitinated proteins revealed increased ubiquitination of PARIS, while total expression of PARIS was decreased. Mitochondria and lysosomes were labelled with MitoTracker green (200 nM) and LysoTracker red (100 nM), respectively, and imaged in 3D (Z optical slice of 0.5 μm) to demonstrate the coefficient for colocalization of mitochondria with lysosomes. We observed increased formation of mitophagosomes, characteristic of mitophagy. Our findings demonstrate that TNFα-induces both mitophagy and mitochondrial biogenesis via the activation of PINK1/Parkin-mediated mitophagy pathway. Such coordination of mitophagy and mitochondrial biogenesis has significant ramifications for the maintenance of mitochondrial homeostasis, quality control and cellular energy metabolism. Supported by NIH grant HL157984 This abstract was presented at the American Physiology Summit 2025 and is only available in HTML format. There is no downloadable file or PDF version. The Physiology editorial board was not involved in the peer review process.